scholarly journals Impact of Dose and Sensitivity Heterogeneity on TCP

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Kristin Wiklund ◽  
Iuliana Toma-Dasu ◽  
Bengt K. Lind
Keyword(s):  
Numerical Simulations ◽  
Analytical Description ◽  
Radiation Sensitivity ◽  
Homogeneous Distribution ◽  
Tumor Control ◽  
Tumor Control Probability ◽  
Analytical Expression ◽  
Tumour Control ◽  
Two Factors ◽  
Good Agreement

This present paper presents an analytical description and numerical simulations of the influence of macroscopic intercell dose variations and intercell sensitivity variations on the probability of controlling the tumour. Computer simulations of tumour control probability accounting for heterogeneity in dose and radiation sensitivity were performed. An analytical expression for tumor control probability accounting for heterogeneity in sensitivity was also proposed and validated against simulations. The results show good agreement between numerical simulations and the calculated TCP using the proposed analytical expression for the case of a heterogeneous dose and sensitivity distributions. When the intratumour variations of dose and sensitivity are taken into account, the total dose required for achieving the same level of control as for the case of homogeneous distribution is only slightly higher, the influence of the variations in the two factors taken into account being additive. The results of this study show that the interplay between cell or tumour variation in the sensitivity to radiation and the inherent heterogeneity in dose distribution is highly complex and therefore should be taken into account when predicting the outcome of a given treatment in terms of tumor control probability.

scholarly journals Automated Non-Coplanar VMAT for Dose Escalation in Recurrent Head and Neck Cancer Patients

Cancers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1910
Author(s):  
Kaley Woods ◽  
Robert K. Chin ◽  
Kiri A. Cook ◽  
Ke Sheng ◽  
Amar U. Kishan ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Dose Escalation ◽  
Volumetric Modulated Arc Therapy ◽  
Normal Tissue Complication Probability ◽  
Tumor Control ◽  
Tumor Control Probability ◽  
Increased Risk ◽  
Recurrent Head

This study evaluates the potential for tumor dose escalation in recurrent head and neck cancer (rHNC) patients with automated non-coplanar volumetric modulated arc therapy (VMAT) stereotactic body radiation therapy (SBRT) planning (HyperArc). Twenty rHNC patients are planned with conventional VMAT SBRT to 40 Gy while minimizing organ-at-risk (OAR) doses. They are then re-planned with the HyperArc technique to match these minimal OAR doses while escalating the target dose as high as possible. Then, we compare the dosimetry, tumor control probability (TCP), and normal tissue complication probability (NTCP) for the two plan types. Our results show that the HyperArc technique significantly increases the mean planning target volume (PTV) and gross tumor volume (GTV) doses by 10.8 ± 4.4 Gy (25%) and 11.5 ± 5.1 Gy (26%) on average, respectively. There are no clinically significant differences in OAR doses, with maximum dose differences of <2 Gy on average. The average TCP is 23% (± 21%) higher for HyperArc than conventional plans, with no significant differences in NTCP for the brainstem, cord, mandible, or larynx. HyperArc can achieve significant tumor dose escalation while maintaining minimal OAR doses in the head and neck—potentially enabling improved local control for rHNC SBRT patients without increased risk of treatment-related toxicities.

scholarly journals Investigation of whether in-room CT-based adaptive intracavitary brachytherapy for uterine cervical cancer is robust against interfractional location variations of organs and/or applicators

2016 ◽  
Vol 57 (6) ◽  
pp. 677-683 ◽  
Author(s):  
Yoshifumi Oku ◽  
Hidetaka Arimura ◽  
Tran Thi Thao Nguyen ◽  
Yoshiyuki Hiraki ◽  
Masahiko Toyota ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Radiation Treatment ◽  
Organs At Risk ◽  
Normal Tissue Complication Probability ◽  
Uterine Cervical Cancer ◽  
Intracavitary Brachytherapy ◽  
Conformity Index ◽  
Tumor Control ◽  
Tumor Control Probability ◽  
Target Volumes

Abstract This study investigates whether in-room computed tomography (CT)-based adaptive treatment planning (ATP) is robust against interfractional location variations, namely, interfractional organ motions and/or applicator displacements, in 3D intracavitary brachytherapy (ICBT) for uterine cervical cancer. In ATP, the radiation treatment plans, which have been designed based on planning CT images (and/or MR images) acquired just before the treatments, are adaptively applied for each fraction, taking into account the interfractional location variations. 2D and 3D plans with ATP for 14 patients were simulated for 56 fractions at a prescribed dose of 600 cGy per fraction. The standard deviations (SDs) of location displacements (interfractional location variations) of the target and organs at risk (OARs) with 3D ATP were significantly smaller than those with 2D ATP (P &lt; 0.05). The homogeneity index (HI), conformity index (CI) and tumor control probability (TCP) in 3D ATP were significantly higher for high-risk clinical target volumes than those in 2D ATP. The SDs of the HI, CI, TCP, bladder and rectum D2cc, and the bladder and rectum normal tissue complication probability (NTCP) in 3D ATP were significantly smaller than those in 2D ATP. The results of this study suggest that the interfractional location variations give smaller impacts on the planning evaluation indices in 3D ATP than in 2D ATP. Therefore, the 3D plans with ATP are expected to be robust against interfractional location variations in each treatment fraction.

The penetration and ricochet of ogive-nosed rigid projectiles obliquely impacting metallic targets

2021 ◽  
pp. 204141962110377
Author(s):  
Yaniv Vayig ◽  
Zvi Rosenberg
Keyword(s):  
Experimental Data ◽  
Numerical Simulations ◽  
Dynamic Pressure ◽  
Oblique Impacts ◽  
Simulation Results ◽  
The Impact ◽  
Penetration Depths ◽  
Resistance To Penetration ◽  
Good Agreement

A large number of 3D numerical simulations were performed in order to follow the trajectory changes of rigid CRH3 ogive-nosed projectiles, impacting semi-infinite metallic targets at various obliquities. These trajectory changes are shown to be related to the threshold ricochet angles of the projectile/target pairs. These threshold angles are the impact obliquities where the projectiles end up moving in a path parallel to the target’s face. They were found to depend on a non-dimensional entity which is equal to the ratio between the target’s resistance to penetration and the dynamic pressure exerted by the projectile upon impact. Good agreement was obtained by comparing simulation results for these trajectory changes with experimental data from several published works. In addition, numerically-based relations were derived for the penetration depths of these ogive-nosed projectiles at oblique impacts, which are shown to agree with the simulation results.

Free and Forced Vibrations of the Strongly Nonlinear Cubic-Quintic Duffing Oscillators

2017 ◽  
Vol 72 (1) ◽  
pp. 59-69 ◽  
Author(s):  
M.M. Fatih Karahan ◽  
Mehmet Pakdemirli
Keyword(s):  
Numerical Simulations ◽  
Numerical Solutions ◽  
Multiple Scales ◽  
Approximate Solutions ◽  
Response Curves ◽  
Strongly Nonlinear ◽  
Free And Forced Vibrations ◽  
Approximate Analytical Solutions ◽  
Strongly Nonlinear Oscillators ◽  
Good Agreement

AbstractStrongly nonlinear cubic-quintic Duffing oscillatoris considered. Approximate solutions are derived using the multiple scales Lindstedt Poincare method (MSLP), a relatively new method developed for strongly nonlinear oscillators. The free undamped oscillator is considered first. Approximate analytical solutions of the MSLP are contrasted with the classical multiple scales (MS) method and numerical simulations. It is found that contrary to the classical MS method, the MSLP can provide acceptable solutions for the case of strong nonlinearities. Next, the forced and damped case is treated. Frequency response curves of both the MS and MSLP methods are obtained and contrasted with the numerical solutions. The MSLP method and numerical simulations are in good agreement while there are discrepancies between the MS and numerical solutions.

scholarly journals Numerical Simulations of V-Shaped Plates Subjected to Blast Loadings: A Validation Study

2016 ◽  
Vol 10 (11) ◽  
pp. 203
Author(s):  
Mohd Zaid Othman ◽  
Qasim H. Shah ◽  
Muhammad Akram Muhammad Khan ◽  
Tan Kean Sheng ◽  
M. A. Yahaya ◽  
...  
Keyword(s):  
Numerical Simulation ◽  
Numerical Simulations ◽  
Variable Mass ◽  
Blast Loading ◽  
Experimental Results ◽  
Average Difference ◽  
Simulation Results ◽  
Blast Loadings ◽  
Carrier Vehicle ◽  
Good Agreement

A series of numerical simulations utilizing LS-DYNA was performed to determine the mid-point deformations of V-shaped plates due to blast loading. The numerical simulation results were then compared with experimental results from published literature. The V-shaped plate is made of DOMEX 700 and is used underneath an armour personal carrier vehicle as an anti-tank mine to mitigate the effects of explosion from landmines in a battlefield. The performed numerical simulations of blast loading of V-shaped plates consisted of various angles i.e. 60°, 90°, 120°, 150° and 180°; variable mass of explosives located at the central mid-point of the V-shaped vertex with various stand-off distances. It could be seen that the numerical simulations produced good agreement with the experimental results where the average difference was about 26.6%.

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